Prevalence Rates of Major Depressive Disorders: The Effects of Varying the Diagnostic Criteria in an Older Primary Care Population

Patients age 60 years and older (N = 3,767) were screened for depression using the Center for Epidemiological Studies Depression Scale (CES-D). A random sample of patients scoring ≥ 16 on the CES-D (n = 44) and of patients scoring < 16 (n = 81) were recruited to complete a structured psychiatric...

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Bibliographic Details
Published in:The American journal of geriatric psychiatry 1995, Vol.3 (2), p.119-131
Main Authors: Hendrie, Hugh C., Callahan, Christopher M., Levitt, Eugene E., Hui, Siu L., Mustek, Beverly, Austrom, Mary G., Numberger, John I., Tierney, William M.
Format: Article
Language:English
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Summary:Patients age 60 years and older (N = 3,767) were screened for depression using the Center for Epidemiological Studies Depression Scale (CES-D). A random sample of patients scoring ≥ 16 on the CES-D (n = 44) and of patients scoring < 16 (n = 81) were recruited to complete a structured psychiatric interview. The estimated prevalence of major depressive disorder (MDD), using a clinically derived diagnosis with the “etiological” method, was 1.78%. When a computer-generated algorithm for MDD using the “inclusive” method for counting somatic symptoms was applied, the estimated prevalence for MDD rose to 5.84%. All subjects with MDD diagnosed by any method had significantly higher scores on the Sickness Impact Profile (SIP), compared with nondepressed subjects.
ISSN:1064-7481
1545-7214
DOI:10.1097/00019442-199500320-00004